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* Not all plans have preventive care, prescription or office visit copays. 100%
in-network, covered services are only for the calendar year the deductible is met.
All optional benefits vary by plan and are available at an additional cost.

For Arizona residents: Insured by Humana Insurance Company or HumanaDental Insurance
Company. For Texas residents: Insured by Humana Insurance Company or HumanaDental
Insurance Company or DentiCare Inc. For Mississippi residents: Insured by Humana
Insurance Company or HumanaDental Insurance Company or CompBenefits Insurance Company.

Waiting periods, limitations and exclusions may apply. Applications are subject
to approval.